April 11, 2016

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LEGISLATIVE ALERT: Maine Senate to Debate ACA Medicaid Expansion Bill This Week

 Senator Tom Saviello's (R-Franklin) L.D. 633, An Act To Improve the Health of Maine Citizens and the Economy of Maine by Providing Affordable Market-based Coverage Options to Low-income Uninsured Citizens appeared on the Senate calendar on Friday, April 8th and could come up for debate as early as today.  MMA expects several votes on the bill during the course of the week and eventually to consider Governor LePage's promised veto.  Accepting the federal funds available under the ACA to expand health insurance coverage for more than 70,000 needy Mainers is the right thing to do for Maine people and for the Maine economy.  Now is the time to contact your own state Senator and Representative.  See a link to "Find Your Legislator" below.

The MMA has continued to work with other members of the Steering Committee and membership of the Cover Maine Now coalition, www.covermainenow.org, to advocate the acceptance of the federal funds made available to the states under the Affordable Care Act (ACA) despite the opposition of the LePage Administration.  MMA's support is consistent with its standing health care reform policy which asserts that we cannot address the many problems in the U.S. health care system unless we are able to provide basic health care to all. 

L.D. 633 presents the last opportunity before a new legislature is seated later this year and begins work in 2017.  Maine already has missed out on several years of substantial federal investment that more than 30 other states, including a number with Republican governors and/or legislatures have pursued. 

The Health & Human Services Committee voted along party lines, 8-5 "ought to pass as amended" on L.D. 633 with all committee Democrats voting in favor and all committee Republicans voting in opposition.  The Coalition believes the votes to be solidly in favor of the bill in both the House and Senate Democratic caucuses.  We have focused our advocacy on the few moderate Republicans in each body who have expressed a willingness to consider the bill.  We could use your help in urging a positive vote on the bill by your contacting your own Senator and Representative.  If your legislators are Democrats, you can simply thank them for their support.  If your legislators are Republicans, you can have a conversation with them about the merits of the bill and urge them to get past the politics of it.  You can find your legislators and their contact information here.  If you know your legislators and would like to leave a message for them at the State House (it can be as simple as, "Please support L.D. 633.  Call me if you'd like to discuss it further."), you can use the toll free numbers below:

  •  Senators:  800-423-6900
  •  Representatives:  800-423-2900

Should you want background before contacting your legislators, you will find lots of good advocacy material on the Cover Maine Now website.  Also, you may find the following talking points helpful.  If you have any further questions, please contact any one of the MMA advocacy team:

  • Gordon Smith, EVP, gsmith@mainemed.com, 215-7461 cell
  • Andrew MacLean, Deputy EVP & General Counsel, amaclean@mainemed.com, 215-7462 cell
  • Peter Michaud, Associate General Counsel, pmichaud@mainemed.com, 475-3312 cell


LD 633:  Benefits of accepting the federal health care funds outpace estimated costs.

It’s a wise investment.

1.       Huge influx of new federal funds would come into Maine.  According to OFPR  fiscal note:  

  • Over $222 Million in the first half of 2017
  • Over $469 over the next state fiscal year
  • Over $2 billion in new federal funds coming to Maine over the next 5 years

2.       Savings – There is agreement that Maine will achieve savings.

  • Other states are using the federal health care funds to pay for mental health, substance abuse and other health care programs that were previously paid for with state tax dollars only.
  • Savings in Maine are expected to be at least $13 M in the first half of 2017 and $27 M next fiscal year.

3.       Over 75,000 Mainers will have access to affordable health insurance, including nearly 3000 veterans as well as about 4,500 children who are already eligible but unenrolled.

4.       At the end of the day – the state’s cost pales compared to the federal funds it will receive.

  • $13 M in the first half of 2017 (matched with $222 M in federal funds) and between $30 and $45 M each year thereafter (to be matched with over $469 M in federal funds).
  • The federal funding match rate is high and will continue at a rate of nearly 9 to 1 after 2020.  
  • This is a better return than other investments the state makes: Transportation bonds are 1.5 to 1; wastewater treatment federal match is about 4.5 to1; port improvements match is 2 to 1.

5.       The timing is right to accept the federal funds.

  • We have a General Fund surplus and Maine will receive an unexpected $40 million in additional Medicaid funding this coming federal fiscal year.

6.       LD 633 will help address our drug crisis.

  • Maine, like other states, will use the federal health care funds to pay for substance abuse and mental health treatment through drug courts, hospital services provided to inmates, and treatment services to reduce drug related  entry and reentry to jail.  We know the #1 barrier to addiction treatment is lack of insurance.

7.       This bill will help reduce the burden of the leading causes of death in Maine – cancer, heart and lung disease.

  • Having access to adequate and affordable healthcare is one of the most effective ways to prevent, detect and treat disease and bolster quality of life for patients undergoing treatment.
  • Access to primary care and preventive services such as tobacco cessation and colorectal cancer.  Screening improves the likelihood cancer and heart disease is prevented or detected earlier at a more curable and less expensive stage.

8.       LD 633 will help our rural hospitals and federally qualified health centers – some of the largest employers and economic drivers in our state:

  • Maine’s rural hospitals have an operating margin of -0.9% compared to +1.9% at urban hospitals in 2015.  This is the third year in a row Maine hospitals have seen this split.
  • Maine’s rural hospitals can’t continue to absorb year after year of negative operating margins.
  • Other states have seen drops in charity care cases of 40%

This is about investing in Maine’s health care system and our economy.  It’s about helping the poorest people in our state, most who work, access the health care we all use ourselves.  It will provide the economic boost our state needs, create over 3,000 jobs, and will help reduce chronic disease in Maine.           


Next MMA Weekly Legislative Committee Conference Call is Tuesday, April 12th at 8 p.m.

MMA Legislative Committee Chair Amy Madden, M.D. welcomes you to participate in the weekly conference calls of the MMA Legislative Committee.

The next MMA Legislative Committee weekly conference call for the Second Regular Session of the 127th Maine Legislature will take place tomorrow, Tuesday, April 12th at 8:00 p.m.

Legislative Committee members and specialty society legislative liaisons are strongly encouraged to participate.  Any physician, practice manager, or other staff member who is interested in the MMA's legislative advocacy also is welcome to participate.  It is not necessary to RSVP for the calls.

Please use the following conference call number and passcode.  These will remain the same for every weekly call during the session.

Conference call number:  1-605-475-6711 (NOTE NEW NUMBER!)

Passcode:  729-7185

The purpose of the weekly conference calls is to review and finalize the MMA's position on bills printed the previous week, to hear the views of specialty societies on the new bills or their concerns about any current health policy issues, and to discuss the highlights of legislative action of the week. The calls rarely last longer than an hour.  The MMA staff lists a suggested position for each bill and any medical specialty particularly affected by the bill.  

If you have an opinion about any of these bills, but cannot participate in the call, please contact Andrew MacLean, Deputy EVP & General Counsel at amaclean@mainemed.com or 622-3374, ext. 214.

There are no new bills for review on this conference call.  We will discuss the status of key bills on opioid prescribing (LD 1646), certified professional midwives licensing (LD 690), alternative medical liability system (LD 1311), and shopping for medical services (LD 1305), along with the anticipated end-of-session schedule.


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MMA's Annual HIPAA Update on May 6th Features Attorneys Ken Lehman, Lori Dwyer, and Ben Townsend; Moderated by MMA's Peter Michaud, J.D., R.N.

One of MMA's most popular CME programs, our Annual Health Information Privacy Compliance Seminar ("HIPAA Update"), is scheduled for Friday, May 6th at the MMA headquarters in Manchester.  The program also will be available by webinar.  Registration and breakfast will begin at 8:30 a.m. and the program will run from 9:00 a.m. to noon.  The presenters for the program are:

  •  Peter Michaud, J.D., R.N., MMA Associate General Counsel;
  • Kenneth Lehman, Esq., shareholder and Chair of the Health Care Group at Bernstein Shur, Portland;
  • Lori Dwyer, J.D.,  General Counsel and Compliance & Risk Officer, Penobscot Community Health Care, Bangor; and
  • Benjamin Townsend, Esq., shareholder at Kozak & Gayer, P.A., Augusta.

Registration materials will be posted on the MMA web site, www.mainemed.com, very shortly.  For more information, please contact Sarah Lepoff at slepoff@mainemed.com or 622-3374, ext. 213. [return to top]

MMA Senior Section Meets Wednesday, April 27th for Presentation, "Geriatrics: A Vision"

The MMA Senior Section, chaired by Buell Miller, M.D., next will meet in the large conference room of the Frank O. Stred Building in Manchester on Wednesday, April 27th.  Lunch will be available at 11:30 a.m. and the presentation will begin at noon.  The topic for this meeting is Geriatrics:  A Vision and the speakers are: 

  • Roger Renfrew, M.D., Medical Director of Geriatric Systems at MaineGeneral Health;
  • Nate Harmon, D.O., Medical Director, Inpatient Geriatrics and HELP Program, MaineGeneral Health; and
  • Eileen Fingerman, M.D., Geriatrician, MaineGeneral Health.

Learn how Dr. Renfrew and his collaborative team of health professionals at MaineGeneral are working to create a comprehensive geriatric program to meet the growing, age-specific medical needs of area seniors.

Please RSVP to Lisa Martin at lmartin@mainemed.com or 622-3374, ext. 221.  [return to top]

POLITICAL PULSE: Final Language Review on L.D. 1646 Yields Delay in Penalties

On Thursday, April 7th, the HHS Committee reviewed for the final time the language to the amended version of L.D. 1646 regarding opioid prescribing.  In addition to some minor language changes, the Committee agreed to delay penalties to prescribers until such time as the Prescription Monitoring Program improvements are implemented.  Among the earlier amendments supported is a proposal to delay the effective date of the limit on the average daily dose (100mg morphine equivalent dosage) for those patients who already exceed that dosage. The effective date of that limit would be July 1, 2017.   The additional time is beneficial to the so-called "legacy" patients in two ways.  First, it provides them and their physicians a longer opportunity to taper from the higher dosages in cases where it is medically appropriate to do so.  Secondly, it provides time for DHHS to complete its rule-making which is expected to provide more exceptions to the law.  Currently, the exceptions included are for cancer pain, hospice care, palliative care, and for medication administered within a hospital or other facility.  The proposal also does not limit dosages for treatment of addiction.  But, in exchange for the additional time for the "legacy" patients to adjust to the potential law, patients receiving  new prescriptions for opioids for pain will now be subject to the potential law 90 days after the adjournment of the session.  That effective date is expected to be around the middle of July.  However, and very importantly, this limit can be overridden based on medical necessity documented by the prescriber until such time as DHHS has completed its rule-making.

One of the last actions taken by the Committee was to move some of the provisions of L.D. 1648, the bill prepared by MMA for Senator Roger Katz (R-Kennebec) into the Governor's bill and to then vote "Ought Not to Pass" on the Katz bill.  The substantive provisions moved into the Governor's bill include the requirement that pharmacists register as data-requesters in the PMP, the similar provisions for veterinarians, and the ability of the PMP to exchange data with the Canadian provinces.  

At the completion of the work session on March 23rd, the members of the HHS Committee voted 11 to 1 "Ought to Pass as Amended" on the bill.  Only Senate Chair Eric Brakey voted against the bill stating that as a supporter of classic libertarian principles, he could not vote for a bill which inserted the government between a patient and hie or her physician.

 A memo to the HHS committee providing the details of the earlier agreement can be found on the MMA website at www.mainemed.com.  These details were presented to the HHS Committee at a work session on Friday, March 18th.  As covered in a previous Maine Medicine Weekly Update, MMA EVP Gordon Smith presented testimony in support of the bills, although with many caveats.

Essential to the original agreement was the extension of the 3-day limit for acute pain and the 15-day limit for chronic pain proposed in the Governor's bill, L.D. 1646.  The agreement provides for a 7-day limit for acute pain and a 30-day limit for chronic pain.  The seven day limit will mirror the law passed in MA last week.  These limits will apply only to opioid based medication prescribed for pain, not for medication prescribed for addiction treatment. In addition, exceptions are being developed for cancer pain, end of life care, hospice care, palliative care, and medication administered in hospitals and other institutional settings with additional exceptions to be developed through rule-making by DHHS.  The Department has agreed to accomplish the rule-making by January 1, 2017.

The mandatory education requirement in the Governor's bill will be changed to simply require that three hours of the existing 40 hours of category one CME credits be committed to the topic of prescribing for pain for those physicians who are prescribing opioid medication.  All the licensing boards regulating prescribers of controlled substances will be directed to amend their continuing education rules to implement this mandate.

The amended bill will continue to require a check of the Prescription Monitoring Program (PMP) each time a new opioid or benzodiazepine script is written and every 90 days thereafter if the scripts continue to be written.  This provision will be effective January 1, 2017.  And HHS will have an opportunity to make improvements to the PMP prior to the effective date.

The requirement to electronically transmit opioid scripts to a pharmacy is retained in the agreement with an effective date of July 1, 2017 but at the work session on March 23rd the Department agreed to allow those prescribers who are not able to meet the deadline to file a plan with the Department which could then grant a waiver.  Exceptions may be developed by rule similar to the process in New York State which is the only state currently with a firm mandate to transmit all prescriptions for controlled substances electronically consistent with the DEA technical requirements to ensure proper authentication of identification.

Several provisions in L.D. 1648 sponsored by Senator Roger Katz (R-Kennebec) received the support of the majority of the HHS committee and are going to be grafted on to the Governor's bill.  These provisions include some enhancements to the PMP and a requirement that pharmacists register to be data requesters, as prescribers are required to do.  Pharmacists will also be required to check the PMP under specific circumstances.   With the adjustments made to the bill, pharmacy interests have indicated support for the proposal.  Veterinarians with a DEA license will also be required to register to use the PMP and will be required to check the PMP if they write a prescription to be filled in a pharmacy.

These details will be discussed during the weekly legislative call at 8:00 pm Tuesday evening.  All MMA members are welcome to join the call (see the call details and call-in numbers in accompanying article).  Input from any member is still welcome as the bill will not be considered by the full legislature until April.

MMA believes that in the current political environment with substantial concern about the opioid abuse epidemic among Maine policymakers, legislation in keeping with the agreement described in this article and the memo mentioned above is almost certainly going to pass this session.  MMA recognizes that members will have varying views on the elements of this agreement and we encourage you to communicate your views on the legislation to your own Representative and Senator and, if you don't know your members, you can find each and their contact information here.

Questions about the agreement or communicating with legislators should be directed to any of MMA's advocacy team of Gordon Smith, Esq., Andrew MacLean, Esq., and Peter Michaud, J.D., R.N.  They can be reached by calling the office at 622-3374.



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Medicare Revalidation Deadlines Approaching

All physicians who participate in Medicare must recertify the accuracy of their enrollment information with the Centers for Medicare & Medicaid (CMS).  This requires revalidating all practice locations and/or current reassignments.

CMS has established due dates for all currently enrolled providers.  Physicians must check their assigned due date and submit the revalidation application by this deadline.  Medicare Administrative Contractors (MAC) will also send a revalidation notice two to three months prior to the revalidation due date either by email using addresses reported on prior applications, or regular mail using at least two of your reported addresses—correspondence, special payments or your primary practice address—identifying your due date.

Physicians should not submit a revalidation application if there is not a due date reflected on the file.  Note that Durable Medical Equipment supplier deadlines will not be included at this time.  If a due date is listed as “TBD” and you have not received an email or mailed letter from your MAC requesting you to revalidate, an application should not be submitted.

The most efficient way to submit your revalidation information is by using the Internet-based PECOS on the CMS website.  PECOS allows you to review information currently on file, update and submit your revalidation via the Internet.  You must either electronically sign the revalidation application; or print, sign, date and mail the paper certification statement to your MAC.

For more information visit the CMS website.
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SAVE THE DATE: MHMC & MMA 2016 Symposium
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National Count of Opioid Prescriptions Decreased by More Than 16 Million in 2015

Every state in the country saw a decrease in the number of opioid analgesics prescriptions filled in 2015 according to new data from IMS Health.  This information, which reflects the activity of physicians and other health care professionals, shows that nationally there was a 6.8 percent decrease in the total number of prescriptions for opioid analgesics in 2015 (227,780,915) compared to 2014 (244,462,567).  There also was a 2.9 percent decrease nationwide in 2014 compared to 2013 (251,814,805), a year when all but four states saw decreases.  From 2013 to 2015 the number of opioid prescriptions filled decreased 10.6 percent.

States that saw the largest decreases in 2015 were:

  • West Virginia: 13.1 percent
  • Texas: 11.5 percent
  • District of Columbia: 11.1 percent
  • Rhode Island: 11.0 percent
  • California: 9.2 percent

The AMA and IMS Health will provide each state medical society with a more detailed view of the data.  For additional questions, please contact the AMA’s Daniel Blaney-Koen or IMS Health’s Robert Hunkler.

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AMA Testimony in California Opposes Anthem-Cigna Merger

On March 29th, the AMA, along with the California Medical Association, testified before the California Department of Insurance, opposing the proposed merger between Anthem and Cigna.

The testimony forcefully argued that the merger will have profound anticompetitive effects that will harm patients such as increased insurance premiums, inadequate provider networks and reductions in physician compensation that will force physicians to leave medicine and spend less time with patients, making it difficult for physicians to make practice investments necessary to maximize the quality of care they provide and participate in new payment models.

The testimony in California is just one example of how the AMA is helping state medical associations oppose the proposed mergers between Anthem-Cigna and Aetna-Humana, in addition to the AMA’s continued merger advocacy before the Department of Justice, the National Association of Attorneys General and the National Association of Insurance Commissioners.

Visit the AMA’s antitrust reform Web page for additional information.
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Attention: Important Survey Opportunity to Inform a "State of the Union" of the Medical Profession

Survey Will Inform a “State of the Union” of the Medical Profession

The Physicians Foundation, a non-profit organization that seeks to empower physicians to lead in the delivery of high-quality, cost-efficient healthcare, is launching its fourth national Survey of America’s Physicians, one of the largest physician surveys ever undertaken in the United States.

“This is the one national survey that allows physicians to share their perspective on the state of the medical profession,” said Walker Ray, M.D., president of the Physicians Foundation. “We’d like to hear from as many physicians as possible so we can accurately understand – and share with the public – physicians’ perspectives on the most significant issues in medicine and healthcare today.”

The survey is being conducted by national physician search and consulting firm, Merritt Hawkins, and will be emailed to more than 650,000 physicians across the country from March-May of 2016. The survey will take approximately 10-12 minutes to complete and will allow physicians to share their thoughts on health reform, electronic medical records, new methods of physician reimbursement, ICD-10, and a variety of other topics. A full copy of the final survey report will be emailed to all physicians who participate, and participants will also be entered to win one of five $500 Amazon gift cards and one $5,000 Amazon gift card.

Physicians can access the survey via this link: https://amnhealthcare.co1.qualtrics.com/jfe3/form/SV_bk1BYfVr1FDaOIR

To access previous Physicians Foundation surveys, visit www.physiciansfoundation.org.

About The Physicians Foundation

The Physicians Foundation is a nonprofit 501(c)(3) organization that seeks to empower physicians to lead in the delivery of high quality, cost efficient healthcare. It pursues its mission through a variety of activities including grantmaking, research, white papers and policy studies. Since 2005, the Foundation has awarded numerous multi-year grants totaling more than $37 million. In addition, the Foundation focuses on the following core areas: physician leadership, physician practice trends, physician shortage issues, and the impact of healthcare reform on physicians and patients. As the healthcare system in America continues to evolve, The Physicians Foundation is steadfast in its determination to strengthen the physician-patient relationship and assist physicians in sustaining their medical practices in today’s practice environment. For more information, please visitwww.PhysiciansFoundation.org and follow the Foundation on Twitter at @PhysiciansFound to stay informed on the latest news.

About Merritt Hawkins

Merritt Hawkins is the leading physician search and consulting firm in the United States and is a company of AMN Healthcare (NYSE: AHS). For more information, visit www.merritthawkins.com. [return to top]

Job Openings


The Director of Health Services provides leadership for Bowdoin College’s Health Center and is responsible for the daily operation and oversight of the medical staff and services of the Center. In addition to functioning as a key department head within the division of Student Affairs, s/he will serve as a licensed practitioner providing clinical services. The Director is a visible leader within the Bowdoin community, representing a trusted voice in student health matters, and educating the community about all types of health issues, including the integration of public health issues and the integration of mental health care. S/he must also have a keen appreciation for the varied health needs of a diverse student body. The Director balances administrative duties including oversight of the daily operations of the Center and clinical duties including providing primary and acute care to Bowdoin students and providing medical oversight of the clinical staff.

For further details about the position, job requirements, and to apply, please go to our careers website: http://careers.bowdoin.edu/postings/2783.

Bowdoin College is committed to diversity, inclusion and equality, and is an equal opportunity employer. We encourage inquiries from candidates who will enrich and contribute to the cultural and ethnic diversity of our College. Bowdoin College does not discriminate on the basis of age, race, creed, color, religion, marital status, gender identity and/or expression, sexual orientation, veteran status, national origin, or disability status in employment, or in our education programs.


INTERNAL MEDICINE PHYSICIAN - Maine Medical Partners Internal Medical Clinic

Maine Medical Partners is seeking a PT BC/BE internal medicine physician for their Internal Medicine Outpatient Clinic at Maine Medical Center in Portland, Maine. 

The Clinic is the primary outpatient teaching site for Maine Medical Center’s Internal Medicine Residency Program and is the medical home for a culturally diverse population.  The ideal candidate will have an interest in residency education and international/immigrant patient care.  The clinical portion of the position involves a mix of direct patient care and the precepting of Internal Medicine Residents. 

Maine Medical Center has 637 licensed beds and is the state’s leading tertiary care hospital, with a full complement of residencies and fellowships and an integral part of Tufts University Medical School. 

For more information please contact Alison C. Nathanson, Director, MaineHealth Physician Recruitment Center at (207) 396-8683 or nathaa@mainehealth.org.



Nasson Health Care is seeking a qualified clinical leader to work collaboratively with a team of health and administrative professionals to provide comprehensive primary care to patients while utilizing the Patient-Centered Medical Home model of care delivery.  

The Physician/Medical Director: 

  • Provides advice and counsel regarding a broad range of clinical, clinical policy, programmatic and strategic issues required to achieve the short and long-term strategies and objectives of Nasson Health Care; 
  • Provides direct clinical services and oversees physicians and advanced practice nurses; works in partnership with members of the practice team to manage the care of patients, assuring a high standard of medical care; 

  Qualifications include:

  • A minimum of three years’ experience as a Medical Director of a primary care medical practice;  A degree from an accredited medical school in the U.S.,
  • Board certification in Family or Internal Medicine;  An unrestricted Maine license to practice medicine, as well as a U.S. Drug Enforcement Agency license;
  • Working knowledge of the core concepts of evidence-based practice, social and behavioral determinants of health, population-based care, integration of medical, behavioral health and dental care, and Meaningful Use of health information technology.

Visit http://www.nassonhealthcare.org for an application. Completed cover letter, resume, and employment application will be accepted until position is filled.



Mid Coast Hospital is seeking a full time Hospitalist to join its established hospitalist service, which is expanding due to growth. The candidate should be BC/BE in internal medicine or family practice. New graduates and experienced candidates are encouraged to apply. Procedures are not required. Excellent Intensivist and subspecialist support is available. Part-time and per diem applications will be considered. 

Part of the Mid Coast–Parkview health family of services, Mid Coast Hospital offers competitive benefits and compensation package, along with an excellent work environment. Please send CV to Melanie Crowe, Physician Recruiter, at mcrowe@midcoasthealth.com or call (207) 406-7872, for more information.



Mid Coast Medical Group is seeking a BC/BE Outpatient Family Practitioner to join our multi-specialty group. Admitting is through a high-quality Hospitalist service.

The Coastal location, historic neighborhoods, superior schools, and Bowdoin College campus make this part of Maine a very desirable place to live. 

Part of the Mid Coast–Parkview health family of services, Mid Coast Medical Group offers competitive benefits and compensation package, along with an excellent work environment. Please send CV to Melanie Crowe, Physician Recruiter, at mcrowe@midcoasthealth.com or call (207) 406-7872, for more information.


Relocate to Beautiful Southwestern Maine - FAMILY PRACTICE PHYSICIAN

Sacopee Valley Health Center has a position available for a full-time family practice physician for our multi-service, progressive, rural federally qualified community health center located in a medically underserved area. Services on site include integrated primary care, dental services, family planning, mental health counseling, psychiatry, nutritionist, optometry, podiatry, social services support, sliding fee coverage, care management, radiology and lab services. NextGen EMR. Practice is outpatient only with no OB. On-call rotation is 4-5 times per month. NCQA Level III PCMH. Competitive salary and benefits package; physicians are eligible to apply for NHSC loan repayment.  Located in Porter, ME, between Portland and the White Mountains. Area is known for terrific four season recreational activities. Just two and one-half hours from Boston. Submit CV to: Nancy Buck, Human Resources Coordinator, (nbuck@svhc.org), Sacopee Valley Health Center, 70 Main Street, Porter, ME 04068. EOE. www.svhc.org. Sacopee Valley Health Center is an equal opportunity provider and employer. 



St. Joseph Hospital is recruiting E.M. BC/BP physicians for its dedicated group.  Collegial, nurturing workplace with latest technology and just-completed expansion.  Members support each other and know patient satisfaction is achieved through staff satisfaction.  Leadership development and participation in policies and direction available. 

Equitable scheduling based on 1440-1472 clinical hours per year; more flexible arrangements available. 

Staffing: 51 hours per day, mostly physicians, for 27,000 visits.  We have great E.D. nurses.   

Area offers many cultural attractions, including the University of Maine, natural and organic food producers, pleasant pace, low crime, friendly people, great public schools and affordable housing.  Acadia National Park, Baxter, scenic towns and harbors, Sugarloaf,  I-95 and Bangor International Airport are right here or close.

Highly competitive package includes relocation, signing bonus, loan repayment, retirement and protected vacation and CME time with allowance.

Contact: Charles F. Pattavina, MD, F.A.C.E.P., Chief, Emergency Medicine at 207.907.3350  or cpattavina@sjhhealth.com



The Maine Highlands offers great outdoor adventures, historic and cultural experiences, many culinary delights and unexpected entertainment opportunities.  KVHC’s newest clinic, Brownville, is located in the Maine Highlands and Katahdin Region.  As a result of this continuous growth, Katahdin Valley Health Center is recruiting a Family Medicine/ Outpatient Internal Medicine Physician that is committed to providing quality health care services to the people in the Brownville/Millinocket Maine regions.   KVHC’s clinics are outpatient only and offers a four day work week with a competitive salary and benefit package which includes: a 10% of first year salary sign on bonus, generous amounts of paid time off and $2500 annually toward CME. Physicians who join KVHC are eligible to apply for NHSC Loan Repayment.  

To learn more about KVHC and Practitioner Opportunities, please contact Michelle LeFay at mlefay@kvhc.org or visit our website at www.kvhc.org.  KVHC is an equal opportunity employer.


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Upcoming Events

Building Connections to Serve Maine Children:  
Critical Topics in Pediatrics and Behavioral/Mental Health

Joint Conference - Maine Chapter, AAP & Maine Council of Child and Adolescent Psychiatry

Saturday, April 30 – Sunday, May 1, 2016    -    Sable Oaks Marriott, Portland

Attention medical, behavioral and allied health providers, community and educational organizations, and family members: please join the Maine Chapter of the Academy of Pediatrics and the Council of Child Psychiatrists for a Sat/Sun program featuring local, regional and national experts in pediatrics and child/adolescent mental health. Key topics include:

Obesity, ADHD and behavior management, Concussions, Advanced Oral Health, Psychosis, Care Transitions with a focus on ID/DD kids, Youth Suicide/Depression/Anxiety/Self Injury, CBT+, Opioid Addiction, Adolescent Sexual Health/Vaccinations

Saturday evening there is a showing of the acclaimed movie addressing ACE's, 'Paper Tigers', with dinner and facilitated discussion to follow.

To view the full agenda and register:



MCMI Training Programs – Level 1 and Level 2

General Information for 2016

When and where held:

              April 8, 2016 in Presque Isle at UMPI                   

              June 10, 2016 in Waterville at Colby College

              October 25, 2016 in Portland in conjunction with the Maine Brain Injury Conference

                                (Registration and fees will be through the Maine Brain Injury Conference for October 25)

                 March and April programs will be morning only with Level 1 and Level 2 at the same time.

               June and October programs will be Level 1 in the morning and Level 2 in the afternoon.


Training Programs:             

              Level 1 – An Introduction to Concussions and Concussion Management

                            Speaker: Deb Nichols, CPNP or Peter Sedgwick, MD or Bill Heinz, MD

                           Level of Difficulty: beginner

                           Content: The Diagnostic and Return to Play Dilemma

                                           How Concussion Occurs and Pathophysiology            

                                           Concussion Signs and Symptoms

                                           Concussion Evaluation Tools

                                           Concussion Treatment

                                           Recovery Epidemiology

                                           Return to Function – Academics and Play

                                           Risk Factors and Protective Equipment

                                           Short and Long Term Sequelae

                                           Neurocognitive Testing

                                           Concussion Sideline Assessment

                                           Key Points


              Level 2 – Advanced Concussion Management (Level 1 is a prerequisite for taking Level 2)

                           Speaker: Mike Rizzo, FNP-C, CIC or Paul Berkner, DO

                           Level of Difficulty: intermediate

                           Content: Updates from Zurich 2012       

                                           Using ImPACT Testing in Concussion Management

                                           Interpreting ImPACT Test Results

                                           Concussion Case Reviews


              March and April – Level 1 and Level 2 (Offered at same time)

                           8:00am – 8:15am           Registration

                           8:15am – noon               Training Program


              June – Level 1:

                           7:45am – 8:00am           Registration

                           8:00am – noon               Training Program

                           Level 2:

                           12:15pm-12:30pm          Registration

                           12:30pm – 4:30pm         Training Program


Registration Fee:           

              For morning only training programs: March 11 and April 8

              $100 for Health Care Professionals (MD, DO, NP, PA, Neuropsychologist, AT, RN, PT, OT, SLP)

              $40 for school personnel and all other attendees

                           (School nurses, coaches, school athletic directors, administrators, parents, etc.)

              $20 for students – currently enrolled in a college program


              For morning and afternoon training program: June 10

              $100 for Health Care Professionals (MD, DO, NP, PA, Neuropsychologist, AT, RN, PT, OT, SLP)

              $175 for Health Care Professionals taking Level 1 and Level 2 - Only June 10


              $40 for school personnel and all other attendees                                                                                                              (School nurses, coaches, athletic directors and administrators, etc.)

              $70 for school personnel taking Level 1 and Level 2 - Only June 10


              $20 for students currently enrolled in a college program            

              $35 for students taking Level 1 and Level 2- Only June 10

CME/CEU contact hours: 3.50

Registration Confirmation will be sent by email.

Refund / Cancellation Policy: If you need to cancel contact Jan Salis, PT, ATC. You can choose to apply your registration fee to another training program or have your check returned.

For more information contact:

              Jan Salis, PT, ATC

              MCMI - Membership and Education Committee - Chair


              (207) 577-2018


Maine AG's Office Bidrigging Training

For those of you who may be involved in competitive bidding for government service agreements, the Maine Office of the Attorney General is providing a training opportunity to avoid problems in the contracting process.  The training is scheduled for April 14th at 10:00 a.m. at the Governor Hill Mansion in Augusta.  The training is expected to last about 90 minutes, depending on the level of audience engagement.

The training will show what to look for in detecting an antitrust violation: i.e., bid-rigging, price fixing, and market allocation. It will explain how these conspiracies are prosecuted and give tips on how to detect and prevent these schemes.  It will highlight common pitfalls and walk through what to do if you run into these red flags.

Bryan Serino is a Trial Attorney in the New York Office of the U.S. Department of Justice’s Antitrust Division.  At the Antitrust Division, he investigates and prosecutes criminal international and national conspiracies involving bid-rigging, price-fixing, and market allocation.  Prior to his time with the Department of Justice, he was an Assistant District Attorney at the Manhattan District Attorney’s office where he investigated complex frauds and international narcotics conspiracies.

The Governor Hill Mansion
136 State Street
Augusta, Maine 04330
Phone: (207) 629-4052

Conveniently located close to the Capital Building and Western Avenue in Augusta, we are only a mile off Exit 109 on I-95. The Governor Hill Mansion is at 136 State Street, on the corner of State and Green.

 If you are interested in attending this training, please contact Andrew MacLean, Deputy EVP & General Counsel, at amaclean@mainemed.com or 622-3374, ext. 214.  While not asking for a commitment, the AG's Office has asked MMA to provide them with some indication of the level of interest in the program.


Maine Hospice Council and Center for End-of-Life Care to hold their 19th Annual Maine Pain Symposium: "Palliative Care & Pain Management: A Responsibility to Do Better”

Join us April 15th at the beautiful Point Lookout Resort & Conference Center in mid-coast Maine.  Our keynote speaker Dr. Betty Ferrell will speak on "The Challenge of Compassionate Care for Someone with Serious Illness." Other presentations and breakout sessions include:

  • Emerging Concepts in Pain Management
  • Existential Suffering
  • The Science of Pain Management
  • Pain in the Pediatric Population
  • Panel Discussion on Addiction
  • Integrative Therapies: Acupuncture, Imagery & Hypnotherapy, Massage Therapy

Registration is $115 for General Admission, $90 Maine Hospice Council Members & Affiliates, $30 Students.

To learn more or to register, click here.


Hanley Center for Health Leadership Health Equity & Cultural Competency Trainings

Positive health outcomes are not evenly distributed across the public.  Some populations face much greater challenges in achieving and maintaining good health.  Public Health Leaders can play a crucial role in understanding the reasons for these differences and leading strategies to promote greater health equity.  In this workshop, we will explore the concepts of health and healthcare disparities, build greater insight into unconscious/implicit bias, and delve into models for developing individual and organizational cultural competence.

Below are links to the EventBrite pages with additional information and tickets:

Ellsworth Training – May 16th

Augusta Training – May 17th

Additional questions can be sent to jaclynbuck@hanleyleadership.org



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